Skip to content

Drug interactions

Betrixaban + Vilazodone

Severity: Moderate

Betrixaban and Vilazodone: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Vilazodone, a serotonergic antidepressant, can impair platelet function by depleting platelet serotonin. When given with the factor Xa inhibitor betrixaban, the risk of bleeding, including gastrointestinal bleeding, may increase.

What this interaction means in plain words

Betrixaban and Vilazodone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Moderate

Why it happens

Additive pharmacodynamic effect: impaired serotonin-dependent platelet aggregation plus factor Xa inhibition.

What to do

Monitor for signs of bleeding and check hemoglobin if symptoms arise. Counsel the patient to report bruising, black stools or other bleeding promptly.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

Pro+ members

Unlock the full page

Create an account and start a Pro+ trial to unlock the full management advice for Betrixaban and Vilazodone, the additional notes, the evidence detail and the whole-prescription interaction checker.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Try Pro+ free for 7 days on the web. No card needed.

Frequently asked questions

Can I take Betrixaban with Vilazodone?

MediHelp rates the interaction as moderate. Betrixaban and Vilazodone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Vilazodone, a serotonergic antidepressant, can impair platelet function by depleting platelet serotonin. When given with the factor Xa inhibitor betrixaban, the risk of bleeding, including gastrointestinal bleeding, may increase.

How serious is the interaction between Betrixaban and Vilazodone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for signs of bleeding and check hemoglobin if symptoms arise. Counsel the patient to report bruising, black stools or other bleeding promptly.

What other medicines interact with Vilazodone?

MediHelp also lists interactions of Vilazodone with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Vilazodone page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

Browse A–Z · Drug interactions

Get the app Sign in